Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Mark T Klucka, DO

Individual provider Family Medicine Physician · NPI 1801902432

Dr. Mark T Klucka, DO is a Family Practice in Alton, Illinois. Graduated from University of North Texas Hsc, College of Osteopathic Med in 1983, 43 years ago. Practices with Fairview Heights Medical Group SC, a 448-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
43
Trained at
University of North Texas Hsc, College of Osteopathic Med
Licensed in
IL
In the registry since
2006
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

4 Memorial Dr Ste 230
Alton, IL 62002-6704
Phone: (618) 463-7874
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2 Saint Anthonys Way, Alton, IL 62002-4569 — (618) 465-2761
  • 3 Saint Elizabeth Blvd, O Fallon, IL 62269 — (618) 641-5803

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 036077227 (IL)
Gastroenterology Physician Taxonomy 207RG0100X · Licence 036.077227 (IL)

Record details

NPI number1801902432
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedAugust 23, 2006
Last updated in NPPESSeptember 19, 2025
Certification dateSeptember 19, 2025
Mailing addressPo Box 959203, Saint Louis, MO 63195-1281

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF NORTH TEXAS HSC, COLLEGE OF OSTEOPATHIC MED
Graduated 1983 (43 years in practice)
Group practice Fairview Heights Medical Group Sc — 448 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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